创伤后应激障碍的网络化心理干预及起效机制  

Effectiveness and mechanisms of networked psychological interventions for post-traumatic stress disorder

作　　者：杜夏雨 赛力古·亚力坤 袁洁莹 任志洪[1] DU Xiayu;Sailigu Yalikun;YUAN Jieying;REN Zhihong(Key Laboratory of Adolescent Cyberpsychology and Behavior(CCNU),Ministry of Education,Key Laboratory of Human Development and Mental Health of Hubei Province,School of Psychology,Central China Normal University,National Intelligent Society Governance Experiment Base(Education),Central China Normal University,Wuhan 430079,China)

机构地区：[1]青少年网络心理与行为教育部重点实验室,人的发展与心理健康湖北省重点实验室,华中师范大学心理学院,华中师范大学国家智能社会治理实验基地(教育),武汉430079

出　　处：《心理科学进展》2025年第1期123-135,共13页Advances in Psychological Science

基　　金：国家自然科学基金面上项目(32171086);中央高校基本科研业务费(CCNU23ZZ001,CCNU24JCPT034)资助。

摘　　要：创伤后应激障碍是一种高度痛苦且致残的心理疾病,在全球范围内造成了重大的健康负担。网络化心理干预因其易得性和匿名性等特征,被广泛应用于创伤后应激障碍的治疗领域。本研究综述了“自上而下”和“自下而上”的网络化心理干预方法及其效果,发现大部分干预措施对于创伤后应激障碍具有良好的效果。为了深入探究干预起效的心理机制,本研究构建了网络化干预创伤后应激障碍的双重机制模型,即基于认知重构的认知行为疗法模型和基于认知歪曲的认知偏向矫正模型,为创伤后应激障碍的网络化干预提供理论和实践指导。未来研究中,可以引入聊天机器人和虚拟仿真工具等技术,为用户提供即时支持和个性化干预,实现更全面的数字化干预流程,提升创伤后应激障碍的网络化干预效果和效率。Post-traumatic stress disorder(PTSD)is a highly distressing and disabling psychological condition that imposes a significant health burden worldwide.Due to its accessibility and anonymity,networked psychological interventions have been widely applied in the treatment of PTSD.This study reviewed the"top-down"and"bottom-up"approaches of networked psychological interventions and their effectiveness,finding that most interventions yielded favorable outcomes for PTSD.To further explore the psychological mechanisms underlying these interventions,this study constructed a dual mechanism model for networked PTSD interventions:a cognitive-behavioral therapy model based on cognitive restructuring and a cognitive bias modification model based on cognitive distortions.This provides both theoretical and practical guidance for networked PTSD interventions.Future research could incorporate technologies such as chatbots and virtual reality tools to offer immediate support and personalized interventions,thereby achieving a more comprehensive digital intervention process and enhancing the effectiveness and efficiency of networked PTSD treatments.

关 键 词：创伤后应激障碍 网络化 心理干预 效果 作用机制 

分 类 号：R395[哲学宗教—心理学]